Looking for a Driver License Application Form Templates? Download it for free!

APPLICATION FOR OHIO PRESERVICE SCHOOL BUS DRIVER TRAINING CERTIFICATION

T-9 Training Form

INFORMATION MUST BE SUBMITTED THROUGH ODE’s WEB-BASED REPORTING SYSTEM IN ORDER TO BE VALID.

SUBMISSION OF THIS REPORT WITHOUT REQUIRED SUPPORTING DOCUMENTATION ON FILE CONSTITUTES FALSIFICATION.

Applicant’s Name: ___________________________________________CDL No.: _______________

Employer: _____________________________________________

Address: __________________________________________________Date of Birth: ____________

School District: _________________________________________

City _______________________________________ State__________________ Zip____________

Address: _______________________________________________

I have completed the required training pursuant to revised and administrative codes

as required by the Ohio Department of Education.

City ______________________ State ____________ Zip ________

________________________________________________

______________

Signature of Applicant

Date

II.

NEW DRIVER REQUIREMENTS

III.

RECERTIFICATION REQUIREMENTS

To be completed by the OBI for new drivers, or those whose employment has been

To be completed by the OBI for re-certifying drivers, or those whose employment has been

interrupted for a period of six or more years, or for a driver with an expired pre-service

interrupted for a period of more than two years, but less than six years, and hold a current

certificate.

pre-service certificate.

__/__/__1. Classroom hours with Ohio Pre-Service School Bus Driver Training

__/__/__ 1. Classroom hours with Ohio Pre-Service School Bus Driver Training

Instructor were attended at: ________________________________

Instructor were attended at: _________________________________

in the county of: _____________________(Pre-service class valid for 12 months

in the county of: _____________________

from date of last day of class)

(Recert class valid for 12 months from date of last day of class)

__/__/__ 2. Attended all of the Ohio Advanced School Bus Training

__/__/__2. On-The-Bus Instruction and Driving Evaluation administered by

Program (24 months prior to expiration of certificate)

certified O.B.I. and/or Pre-Service Instructor

Location _______________________________Year ___________

OBI Pre-Trip Score: __________ OBI Driving Evaluation Score: __________

__/__/__ 3. On-The-Bus Instruction and Driving Evaluation administered by

certified O.B.I. and/or Pre-Service Instructor

OBI Signature ______________________________________

OBI Pre-Trip Score: _________ OBI Driving Evaluation Score ________

__/__/__3. Issue Date of Commercial Drivers License from deputy registrar

OBI Signature _____________________________________

__/__/__4. In accordance with O.A.C.3301-83-10-A-4, the Applicant was issued a

Temporary Three-Month Certificate. As noted in Item 1, the classroom

__/__/__ 4. Competed in a Regional or State School Bus Safety ROAD-E-O and

portion of training was not completed prior to items 2 and 3.

scored 80% of the total possible points. (24 months prior to expiration

of certificate)

ROAD-E-O Score _______ Regional/State _________ Year _______

______________________________________________________________________________________________________________________________________________________________________

IV. To be completed by the transportation administrator. In addition to the above requirements, the items listed below must be completed in accordance with Ohio Revised and

Administrative Codes. Copies of the following documents are required to be on file at the bus owner’s facility for a period of 6 years.

1. Satisfactory T-8 School Bus Driver Physical Examination.

5. School Bus Driver training records

2. Completed and received satisfactory BCI&I and FBI background checks

6. Evidence of training related to Drugs and Alcohol

3. Satisfactory semi-annual BMV Driver Record Check

7. Evidence of training related to Blood-borne Pathogens

4. Satisfactory Drug-Alcohol test results and FMCSA Check Form

8. In-service training records and Annual Driving Certificate

_______________________________________________

__________

Transportation Administrator’s Signature